My Aged Care Appointment of Representative form

Purpose of this form
My Aged Care Appointment of a Representative Form
This form is to appoint either a regular or authorised representative in My Aged Care. For regular representatives, you can also call My Aged Care on 1800 200 422.
If you want to access government subsidised aged care services, you need to register with My Aged Care. To do this you can either call My Aged Care yourself or someone else (a ‘representative’) can talk to My Aged Care for you.
Setting up a representative with this form is limited to information and actions about My Aged Care including assessment and access to services.
What can a representative do?
• Give information to My Aged Care including talking to assessors, the My Aged Care contact centre and service providers
• Get information about your progress in My Aged Care
• Make decisions about aged care assessment and referrals for aged care services
• See and update your information through the contact centre or on the My Aged Care client record on
myGov (Note: access needs to be set up by calling My Aged Care)
• Be listed as your primary contact so they are the first contact point for My Aged Care

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